CAJ | 학술논문

目的探讨经终板入路切除视交叉前置型鞍区肿瘤的手术方法.方法回顾性分析2001年2月至2007年5月间,经终板入路显微手术切除视交叉前置型鞍区肿瘤23例的临床资料及随访结果.结果 23例患者镜下全切13例,次全切6例,大部分切除4例,无手术死亡;随访6个月-4年,复发3例.结论熟悉鞍区各解剖间隙的特点,并根据术中情况合理利用终板入路切除部分视交叉前置型鞍区肿瘤是一种行之有效的方法.娴熟的显微技巧,注意鞍区重要结构的保护、围手术期常见并发症的及时处理是获取良好疗效的基础.
목적 탐토경종판입로절제시교차전치형안구종류적수술방법.방법 회고성분석2001년2월지2007년5월간,경종판입로현미수술절제시교차전치형안구종류23례적림상자료급수방결과.결과 23례환자경하전절13례,차전절6례,대부분절제4례,무수술사망;수방6개월-4년,복발3례.결론 숙실안구각해부간극적특점,병근거술중정황합리이용종판입로절제부분시교차전치형안구종류시일충행지유효적방법.한숙적현미기교,주의안구중요결구적보호、위수술기상견병발증적급시처리시획취량호료효적기출.
Objective To study the operative approach and microsurgical technique of translamina terminalis approach on anterochiasmatic sellar tumour. Methods The clinical data and the follow-up result of 23 patients with anterochiasmatic sellar tumour who were treated surgically through translamina terminalis approach were analyzed retrospectively from February 2001 to May 2007. Results Among 23 patients, total resection was performed in 13 cases,secondary resection in 6 cases, partial resection in 4 cases. All patients had good results without operation death. Three recurred cases were found during the follow-up period of 6 months to 4 years. Conclusions The translamina terminalis approach for microsurgical resection of anterochiasmatic sellar tumour is an effective method by mastering anatomy characteristics of saddle area interspaces. Perfect microsurgical skill, protection of important structures in saddle area and treatment of complication in time ware the basement of achieving fine curative effect.